Title
Subscribe to the Magazine for free
Subscribe for free to keep reading! If you are already subscribed, enter your email address to log back in.
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.

Indigo Carmine (Blue 2 Dye): Safety, Uses, and Side Effects

Written By
Erin Coleman
RD

Why This Was Updated?

Our specialists regularly review advancements in health and wellness, ensuring our articles are updated with the newest information as it becomes accessible.
Medically Reviewed by
Updated On
August 9, 2024

Indigo Carmine (Blue 2 Dye) is a dark blue dye used to enhance the color of some foods, beverages, cosmetics, clothing, supplements, and medications. While it may optimize the appearance of these and other consumer products and is often cheaper than natural alternatives, Blue 2 Dye is linked to several health concerns, particularly in animal studies.

This article explores the names and uses of Blue 2 Dye, which products contain this common food colorant, its potential health risks, and whether or not Blue 2 is safe for human consumption. 

[signup]

Background on Indigo Carmine (Blue 2 Dye)

Indigo Carmine (Blue 2 Dye) was chemically developed to improve the blue color of certain consumer products.

History and Development

Blue 2 Dye, also called Indigo Carmine, FD&C Blue No. 2, and Indigotine, is an indigo or dark blue powder (organic sodium salt) developed by condensing the acid form of indigo carmine with sodium hydroxide. 

Chemical Composition and Formula

The chemical composition of Indigo Carmine (Blue 2 Dye) is:

  •  Disodium;2-(3-hydroxy-5-sulfonato-1H-indol-2-yl)-3-oxoindole-5-sulfonate

Its molecular formula is C16H8N2Na2O8S2.

Regulatory Status and Approval by Health Authorities

Blue 2 Dye is approved by the United States Food and Drug Administration (FDA), European Food Safety Authority (EFSA), and Joint FAO/WHO Expert Committee on Food Additives (JECFA) in amounts based on kilograms of body weight. 

Uses of Indigo Carmine (Blue 2 Dye)

The following are examples of uses of Indigo Carmine (Blue 2 Dye).

Common Applications in Food Products

Foods and beverages that may contain Indigo Carmine include:

  • Breakfast cereals
  • Sports drinks
  • Energy drinks
  • Other beverages 
  • Ice creams
  • Sorbets
  • Dairy foods
  • M&Ms
  • Skittles
  • Other candies
  • Snack foods
  • Baked goods
  • Dessert powders
  • Confectionary products
  • Sausages
  • Maraschino cherries
  • Pet foods

If a highly processed food is blue in color, chances are it contains Blue 2, Blue 1, or other blue food dyes. 

Use in Pharmaceuticals and Medical Diagnostics

Uses of Blue 2 Dye in pharmaceuticals include the following medications:

  • Cyclobenzaprine hydrochloride 
  • Tamsulosin hydrochloride
  • Viagra
  • Doxycycline hyclate
  • Morphine sulfate extended release
  • Oxycodone hydrochloride 
  • Sertraline hydrochloride 
  • Alprazolam 
  • Amphetamine and dextroamphetamine extended release
  • Clonazepam 

Blue 2 Dye is found in prenatal vitamins, children's vitamins, children’s pain relievers, and children’s allergy tablets. 

Indigo Carmine is also used in milk testing to detect chlorates and nitrates and renal function testing to detect chlorates and bitrates. It’s sometimes used as a reagent for kidney function tests during ureteral catheterization and cystoscopies. 

Cosmetic and Other Uses

Cosmetic and other uses for Indigo Carmine (Blue 2 Dye) include:

Blue 2 is used as a dye to color some types of clothing. 

Comparison With Other Similar Dyes

Blue 1 Dye is a synthetic dye similar to Blue 2. However, Blue 1 is lighter, slightly greenish blue in color, while Blue 2 is darker blue or indigo. Both Blue 1 and Blue 2 are used to color drinks, foods, vitamins, medications, cosmetics, and other common consumer products

But unlike Blue 2, Blue 1 Dye is made of petroleum. Blue 2 is a synthetic version of plant-based indigo dye. 

Blue 1 also has a different chemical composition: Disodium;2-[[4-[ethyl-[(3-sulfonatophenyl)methyl]amino]phenyl]-[4-[ethyl-[(3-sulfonatophenyl)methyl]azaniumylidene]cyclohexa-2,5-dien-1-ylidene]methyl]benzenesulfonate.

Regulatory differences between these two blues also exist. Regulatory agency guidelines for Blue 1 are as follows:

  • Blue 1 FDA: 0-12 milligrams per kilogram of body weight daily
  • Blue 1 EFSA: 0-12.5 milligrams per kilogram of body weight daily
  • Blue 1 JECFA: 0-6 milligrams per kilogram of body weight daily

These regulations allow lower levels of Blue 2 than Blue 1.

Safety of Indigo Carmine (Blue 2 Dye)

While well-known regulatory agencies deem Blue 2 Dye safe in recommended amounts, potential health concerns have been reported.

Overview of Safety Assessments by Regulatory Agencies

Food dye safety assessments by regulatory agencies are based mainly on animal studies since there are very few human studies. While the FDA, EFSA, and JECFA have approved Blue 2 Dye for use in foods and other consumer products, updated guidelines may become available as new research becomes available. 

Acceptable Daily Intake (ADI) levels

Accepted daily intakes (ADIs) for Indigo Carmine (Blue 2 Dye) include:

  • FDA: 0-2.5 milligrams per kilogram of body weight daily
  • EFSA: 0-5 milligrams per kilogram of body weight daily
  • JECFA: 0-5 milligrams per kilogram of body weight daily

These are the amounts of Blue 2 per kilogram of body weight daily deemed safe for consumption by these agencies.

Metabolism and Excretion in the Human Body

While human studies on Blue 2 metabolism are lacking, research on Blue 2 Dye metabolism in rats shows that this dye and its metabolites are mainly excreted in feces, with small amounts lost in the urine. The researchers concluded that much of the ingested Blue 2 Dye was not absorbed by rats.

Side Effects and Health Risks

Side effects and health risks are linked to Indigo Carmine (Blue 2 Dye). 

Potential Side Effects and Adverse Reactions

Blue 2, as well as many other synthetic food dyes, may cause allergic reactions or gastrointestinal issues in people who are sensitive to artificial food colorings. Bronchoconstriction, itching skin, and even anaphylaxis in rare cases are examples of allergic reactions observed after consuming products containing Blue 2 Dye.

A human case study reported low blood pressure, low oxygen, wheezing, and a life-threatening anaphylactic reaction after an indigo carmine injection for a ureter evaluation.

Another study confirms that Indigo Carmine is toxic for humans and can lead to low blood pressure, high blood pressure, skin irritation, or gastrointestinal (GI) disorders

Another study showed that Indigo Carmine has the potential to cause vomiting, nausea, diarrhea, and skin irritation

Long-Term Health Risks

Indigo Carmine may also be linked to longer-term health risks. Synthetic food dyes are associated with neurobehavioral problems in children, such as worsening attention-deficit/hyperactivity disorder (ADHD) symptoms

The Center for Science in the Public Interest suggests that neurobehavioral effects that may become more severe in children because of food dyes include:

  • Inattentiveness
  • Hyperactivity
  • Restlessness
  • Sleeplessness
  • Aggression
  • Irritability

Furthermore, blue dyes appear to have toxic effects, including potential carcinogenicity (cancer-causing) concerns. Therefore, some researchers suggest replacing synthetic blue food dyes (blue 1 and Blue 2) with natural dyes.

The Center for Science in the Public Interest suggests that Blue 2 is not safe because of the statistically significant incidence of tumors, including brain tumors, in rats. 

The Environmental Working Group confirms that Blue 2 Dye may cause bladder and brain tumors in rats. This organization is concerned about the harmful health effects of Blue Dye 2 and other synthetic dyes used to color foods. 

However, human studies associated with Indigo Carmine’s effects on cancer in humans are lacking. 

Vulnerable Populations and Individual Sensitivity

Vulnerable populations for food dye toxicity and allergic reactions are children, babies, pregnant women, and individuals with food dye sensitivities. However, the FDA hasn’t established safe ADIs for children, pregnant women, and other sensitive population groups. 

Studies and Research on Indigo Carmine (Blue 2 Dye)

Many studies using Indigo Carmine involve animals, though some human studies have been conducted. 

Summary of Key Scientific Studies

Key studies suggest that Indigo Carmine is toxic for humans and may lead to high blood pressure, low blood pressure, skin irritation, allergic reactions, gastrointestinal disorders, and other potentially concerning health effects. 

Findings on Toxicity and Carcinogenicity

Studies show that Blue Dye 2 is linked to brain tumors in rats. The researchers suggest that because of this (while human studies are lacking), Indigo Carmine isn’t safe for human consumption. 

Research on Behavioral Effects

Studies examining the effects of Indigo Carmine on behavior in children found that synthetic food dyes appear to increase inattention and hyperactivity in children with ADHD and kids without an ADHD diagnosis

Alternatives to Indigo Carmine (Blue 2 Dye)

Natural colorants may have distinct advantages over synthetic food dyes when it comes to human health and well-being.

Natural Alternatives and Their Benefits

Natural colorants with the potential to replace Indigo Carmine (Blue 2 Dye) or other synthetic dyes include:

  • Phycocyanin: natural colorants sourced from algae.
  • Natural indigo: water-soluble glucoside indicant in plants.
  • Anthocyanins (E163): found in berries, grapes, other fruits, radishes, cabbage, potatoes, and other vegetables.
  • Gardenia blue: present in G. jasminoides fruits that grow in forests in Japan, Taiwan, Vietnam, and China. 

Researchers suggest that anthocyanins and genipin (obtained from G. jasminoides fruits) are examples of natural blue food dyes associated with health benefits – such as a reduced risk of heart disease, and cancer with neuroprotective, anti-diabetic, anti-inflammatory properties. 

Examples of FDA-approved natural blue colorants for foods are grape skin and grape extracts (anthocyanins).

However, the downside for food manufacturers is that natural colorants are often more expensive and may be less stable than synthetic food dyes.

Comparison of Safety Profiles

Researchers have expressed safety concerns for individuals who ingest Blue 2 or similar synthetic dyes, including Blue 1. That’s why there’s a strong interest in creating natural alternatives to synthetic blue food colorants. 

Industry Trends Towards Natural Coloring Agents

Food manufacturers and other industries are trending toward natural colorants over synthetic dyes. Emerging natural dyes, including substances found in red cabbage and other fruits and vegetables, show promising results to replace Blue 2 Dye and other artificial dyes. New regulations and research may result because of these new developments.

[signup]

Key Takeaways

  • Indigo Carmine (Blue 2 Dye) is a synthetic blue colorant commonly used in foods, drinks, supplements, medicines, clothing, cosmetic products, and pet foods. 
  • However, potential health concerns exist when consuming large amounts of Blue 2. Examples include cancer, hyperactivity in children, GI issues, and allergic reactions.
  • The FDA, EFSA, and JECFA deem Indigo Carmine (Blue 2 Dye) safe in limited amounts. However, some adults and children who eat large amounts of highly processed, brightly colored foods may exceed these levels. 
  • Some consumer advocacy groups recommend Indigo Carmine (Blue 2 Dye) and other synthetic dyes be removed from the food supply due to potential health concerns.
  • To avoid potential health risks associated with Blue 2 Dye, limit or avoid foods containing this artificial colorant (read the ingredient label or choose organic options instead). Consider products labeled dye-free or those using natural blue alternatives.
The information provided is not intended to be a substitute for professional medical advice. Always consult with your doctor or other qualified healthcare provider before taking any dietary supplement or making any changes to your diet or exercise routine.
Learn More
No items found.

Lab Tests in This Article

No items found.

Achuff, J. (2024, March 1). Berries: The superfoods linked to longer life. Rupa Health. https://www.rupahealth.com/post/berries-the-superfoods-linked-to-longer-life#:~:text=Scientists%20discovered%20that%20eating%20berries%2C%20such%20as%20strawberries%2C

Arnold, L. E., Lofthouse, N., & Hurt, E. (2012). Artificial food colors and attention-deficit/hyperactivity symptoms: Conclusions to dye for. Neurotherapeutics, 9(3), 599–609. https://doi.org/10.1007/s13311-012-0133-x

Bertagna, B. (2024, January 3). Health benefits of blueberries and their potential in chronic disease prevention. Rupa Health. https://www.rupahealth.com/post/health-benefits-of-blueberries-and-their-potential-in-chronic-disease-prevention

Blake, K. (2023b, December 15). The power of functional foods in cancer prevention. Rupa Health. https://www.rupahealth.com/post/the-power-of-functional-foods-in-cancer-prevention

Blake, K. (2023, July 12). What is the cardiometabolic food plan? Rupa Health. https://www.rupahealth.com/post/what-is-the-cardiometabolic-food-plan

Center for science in the public interest. (2014, May 7). First-ever study reveals amounts of food dyes in brand-name foods. Center for Science in the Public Interest. https://www.cspinet.org/new/201405071.html

Cloyd, J. (2023a, April 10). A functional medicine hypertension protocol. Rupa Health. https://www.rupahealth.com/post/functional-medicine-hypertension-protocol

Cloyd, J. (2023b, April 28). What is the difference between medical-grade supplements and over-the-counter supplements? Rupa Health. https://www.rupahealth.com/post/what-is-the-difference-between-medical-grade-supplements-and-over-the-counter-supplements

Cloyd, J. (2023c, July 28). A functional medicine diarrhea protocol: Comprehensive lab testing, therapeutic diet, and supplements. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-diarrhea-protocol-comprehensive-lab-testing-therapeutic-diet-and-supplements

Cloyd, J. (2023d, September 28). Integrative medicine approach to treating hypotension. Rupa Health. https://www.rupahealth.com/post/integrative-medicine-approach-to-treating-hypotension

Cloyd, J. (2023d, November 13). The anti-inflammatory lifestyle: From diet to mindfulness. Rupa Health. https://www.rupahealth.com/post/the-anti-inflammatory-lifestyle-from-diet-to-mindfulness

EWG skin deep® | what is CI 42090 (FD&C blue no. 1 or D&C blue no. 4). (2024). EWG. https://www.ewg.org/skindeep/ingredients/702408-CI_42090_FDC_Blue_No_1_or_DC_Blue_No_4/

FD&C blue no. 2 (inactive ingredient). (2023, August 8). Drugs.com. https://www.drugs.com/inactive/fd-c-blue-no-2-243.html

Fell, A. (2021, April 7). A new natural blue for food coloring. UC Davis. https://www.ucdavis.edu/news/new-natural-blue-food-coloring

Greenan, S. (2021, December 10). Can’t sleep? Make sure you’re getting these 3 micronutrients. Rupa Health. https://www.rupahealth.com/post/functional-medicine-approach-for-optimal-sleep

Group, E.-E. W. (2024). EWG’s food scores just took the work out of grocery shopping for me! Www.ewg.org. https://www.ewg.org/foodscores/ingredients/7554-ArtificialColorBlue2/

Indigo carmine (E 132) for cats and dogs and ornamental fish | EFSA. (2015, May 19). Www.efsa.europa.eu. https://www.efsa.europa.eu/en/efsajournal/pub/4108#:~:text=Indigo%20carmine%20(E%20132)%2C

Khakham, C. (2023, June 30). Personalizing skin health: Leveraging functional medicine labs to tailor dietary interventions and supplements. Rupa Health. https://www.rupahealth.com/post/using-dietary-interventions-and-supplements-to-support-healthy-skin

Kobylewski, S. (2010). Food dyes A rainbow of risks. https://www.cspinet.org/sites/default/files/attachment/food-dyes-rainbow-of-risks.pdf

Koichiro Nandate, & Voelzke, B. B. (2016). Severe hypotension, hypoxia, and subcutaneous erythema induced by indigo carmine administration during open prostatectomy. Case Reports in Urology, 2016, 1–3. https://doi.org/10.1155/2016/5237387

Kresge, K. (2022, December 22). Common symptoms of functional GI disorders. Rupa Health. https://www.rupahealth.com/post/what-are-functional-gastrointestinal-disorders-diagnosis-and-treatment

Kresge, K. (2023, March 2). An integrative medicine approach to ADHD. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-adhd

Lehmkuhler, A. L., Miller, M. D., Bradman, A., Castroina, R., & Mitchell, A. E. (2020). Certified food dyes in over the counter medicines and supplements marketed for children and pregnant women. Food and Chemical Toxicology, 143, 111499. https://doi.org/10.1016/j.fct.2020.111499

LoBisco, S. (2022, November 16). 7 natural treatments for low progesterone. Rupa Health. https://www.rupahealth.com/post/progesterone-imbalance-signs-treatments

Mary Meck Higgins. (2015). Identifying foods that contain synthetic food dyes. https://www.ksre.k-state.edu/humannutrition/nutrition-topics/eatingwell-budget/meals-documents/IdentifyingFoodsThatContainSyntheticFoodDyes.pdf

Miller, M. D., Steinmaus, C., Golub, M. S., Castorina, R., Thilakartne, R., Bradman, A., & Marty, M. A. (2022). Potential impacts of synthetic food dyes on activity and attention in children: A review of the human and animal evidence. Environmental Health, 21(1). https://doi.org/10.1186/s12940-022-00849-9

Olas, B., Białecki, J., Urbańska, K., & Bryś, M. (2021). The effects of natural and synthetic blue dyes on human health: A review of current knowledge and therapeutic perspectives. Advances in Nutrition, 12(6), 2301–2311. https://doi.org/10.1093/advances/nmab081

PubChem. (n.d.). Indigo carmine. Pubchem.ncbi.nlm.nih.gov. https://pubchem.ncbi.nlm.nih.gov/compound/Indigo-carmine

Rambler, R. M., Rinehart, E., Boehmler, W., Gait, P., Moore, J., Schlenker, M., & Kashyap, R. (2022). A review of the association of blue food coloring with attention deficit hyperactivity disorder symptoms in children. Cureus, 14(9). https://doi.org/10.7759/cureus.29241

Ristea, M.-E., & Zarnescu, O. (2023). Indigo carmine: Between necessity and concern. Journal of Xenobiotics, 13(3), 509–528. https://doi.org/10.3390/jox13030033

Rohrig, B. (2015, October). Eating with your eyes: The chemistry of food colorings. American Chemical Society. https://www.acs.org/education/resources/highschool/chemmatters/past-issues/2015-2016/october-2015/food-colorings.html

Search results || skin deep® cosmetics database. (n.d.). EWG. Retrieved June 27, 2024, from https://www.ewg.org/skindeep/search/?search=blue+2

Stanford, J. (2024, February 19). The hidden perils of refined carbohydrates: What every healthcare professional needs to know. Rupa Health. https://www.rupahealth.com/post/the-hidden-perils-of-refined-carbohydrates-what-every-healthcare-professional-needs-to-know

Swerlick, R. A., & Campbell, C. F. (2013). Medication dyes as a source of drug allergy. Journal of Drugs in Dermatology: JDD, 12(1), 99–102. https://pubmed.ncbi.nlm.nih.gov/23377335/

Synthetic food dyes and behavioral effects in children: Implications for regulators, schools, and daycare centers. (2021). https://www.cspinet.org/sites/default/files/attachment/Dyes_Fact_sheet_School_Foods_3.8.2021.pdf

Weinberg, J. (2024, February 13). Allergic skin reactions: A functional medicine approach to identifying and treating root causes. Rupa Health. https://www.rupahealth.com/post/allergic-skin-reactions-a-functional-medicine-approach-to-identifying-and-treating-root-causes

What is food dye? | environmental working group. (2024, March 27). Www.ewg.org. https://www.ewg.org/news-insights/news/2024/03/what-food-dye

Yoshimura, H. (2023, April 26). Complementary and integrative medicine approaches to oncology in gerontology. Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-oncology-in-gerontology

Subscribe to the Magazine for free to keep reading!
Subscribe for free to keep reading, If you are already subscribed, enter your email address to log back in.
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
See All Magazine Articles
Trusted Source
The Journal of Pediatrics
Peer Reviewed Journal
Visit Source
CDC
Government Authority
Visit Source
Office of Dietary Supplements
Government Authority
Visit Source
National Heart Lung and Blood Institute
Government Authority
Visit Source
National Institutes of Health
Government Authority
Visit Source
Clinical Infectious Diseases
Peer Reviewed Journal
Visit Source
Brain
Peer Reviewed Journal
Visit Source
The Journal of Rheumatology
Peer Reviewed Journal
Visit Source
Journal of the National Cancer Institute (JNCI)
Peer Reviewed Journal
Visit Source
Journal of Cardiovascular Magnetic Resonance
Peer Reviewed Journal
Visit Source
Hepatology
Peer Reviewed Journal
Visit Source
The American Journal of Clinical Nutrition
Peer Reviewed Journal
Visit Source
The Journal of Bone and Joint Surgery
Peer Reviewed Journal
Visit Source
Kidney International
Peer Reviewed Journal
Visit Source
The Journal of Allergy and Clinical Immunology
Peer Reviewed Journal
Visit Source
Annals of Surgery
Peer Reviewed Journal
Visit Source
The Journal of Neurology, Neurosurgery & Psychiatry
Peer Reviewed Journal
Visit Source
Chest
Peer Reviewed Journal
Visit Source
Blood
Peer Reviewed Journal
Visit Source
Gastroenterology
Peer Reviewed Journal
Visit Source
The American Journal of Respiratory and Critical Care Medicine
Peer Reviewed Journal
Visit Source
The American Journal of Psychiatry
Peer Reviewed Journal
Visit Source
Diabetes Care
Peer Reviewed Journal
Visit Source
The Journal of the American College of Cardiology (JACC)
Peer Reviewed Journal
Visit Source
The Journal of Clinical Oncology (JCO)
Peer Reviewed Journal
Visit Source
Journal of Clinical Investigation (JCI)
Peer Reviewed Journal
Visit Source
Circulation
Peer Reviewed Journal
Visit Source
JAMA Internal Medicine
Peer Reviewed Journal
Visit Source
PLOS Medicine
Peer Reviewed Journal
Visit Source
Annals of Internal Medicine
Peer Reviewed Journal
Visit Source
Nature Medicine
Peer Reviewed Journal
Visit Source
The BMJ (British Medical Journal)
Peer Reviewed Journal
Visit Source
The Lancet
Peer Reviewed Journal
Visit Source
Journal of the American Medical Association (JAMA)
Peer Reviewed Journal
Visit Source
Pubmed
Comprehensive biomedical database
Visit Source
Harvard
Educational/Medical Institution
Visit Source
Cleveland Clinic
Educational/Medical Institution
Visit Source
Mayo Clinic
Educational/Medical Institution
Visit Source
The New England Journal of Medicine (NEJM)
Peer Reviewed Journal
Visit Source
Johns Hopkins
Educational/Medical Institution
Visit Source